摘要
【目的】观察子午流注开穴法低频治疗对轻度近视患儿的视功能及视疲劳的改善作用。【方法】将38例(76眼)轻度近视患儿随机分为治疗组20例(40眼)和对照组18例(36眼)。对照组给予常规验光配镜矫正治疗,治疗组给予配镜矫正联用子午流注开穴法低频治疗,疗程为10周。观察2组患儿治疗前后裸眼视力、屈光度、眼轴长度及视疲劳评分的变化情况,并评价2组患儿的临床疗效。【结果】(1)治疗10周后,治疗组的总有效率为35.0%(14/40),对照组为8.3%(3/36);组间比较,治疗组的临床疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,治疗组患儿的裸眼视力、屈光度、眼轴长度均较治疗前改善(P<0.05或P<0.01),而对照组患儿仅眼轴长度较治疗前改善(P<0.05);组间比较,治疗组对患儿裸眼视力及治疗前后眼轴长度变化值的改善幅度均明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后,治疗组患儿的视疲劳评分值较治疗前明显下降,差异有统计学意义(P<0.05);而对照组虽较治疗前有下降趋势,但差异无统计学意义(P>0.05);组间比较,治疗组对患儿视疲劳评分值的改善幅度明显优于对照组,差异有统计学意义(P<0.05)。【结论】子午流注开穴法低频治疗仪配合戴镜矫正治疗比单纯戴镜矫正治疗儿童轻度近视,更能改善裸眼视力,减缓眼轴增长速度,减轻视疲劳症状。
Objective To observe the improvement of visual function and visual fatigue in children with mild myopia by low-frequency treatment with the midnight-noon ebb-flow acupuncture therapy(also called Ziwu Liuzhu Acupuncture,referring to the needling method based on acupoint selection according to qi and blood movement following the cycle of heavenly stems and earthly braches).Methods Thirty-eight cases(involving 76 eyes)of children with mild myopia were randomly divided into 20 cases(involving 40 eyes)in the treatment group and 18 cases(involving 36 eyes)in the control group.The control group was given conventional treatment of rectification by wearing glasses,while the treatment group was given conventional treatment of rectification by wearing glasses combined with low-frequency treatment with midnight-noon ebb-flow acupuncture.The treatment for the two groups lasted for 10 weeks.The changes of uncorrected visual acuity(UCVA),diopter,axial length,and visual fatigue scores were observed before and after treatment,and the clinical efficacy of the two groups was evaluated after treatment.Results(1)After 10 weeks of treatment,the total effective rate of the treatment group was 35.0%(14/40),and that of the control group was 8.3%(3/36).The intergroup comparison showed that the clinical efficacy of the treatment group was superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the UCVA,diopter and axial length in the treatment group were improved compared with those before treatment(P<0.05 or P<0.01),while only the axial length in the control group was improved compared with that before treatment(P<0.05).The intergroup comparison showed that the improvement of UCVA and pre-and post-treatment difference of axial length in the treatment group was significanthy superior to that in the control group,and the difference was statistically significant(P<0.05).(3)After treatment,the visual fatigue scores in the treatment group were significantly decreased compared with those
作者
杨淑彦
庞龙(指导)
YANG Shu-Yan;PANG Long(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Ophthalmology,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第7期1578-1583,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
子午流注开穴法
低频治疗
儿童轻度近视
裸眼视力
眼轴增长
视疲劳
midnight-noon ebb-flow acupuncture therapy
low-frequency treatment
children with mild myopia
uncorrected visual acuity(UCVA)
growth of optic axis
visual fatigue
